Dernières propositions concernant la révision de la CIM 11 pour les
Transcription
Dernières propositions concernant la révision de la CIM 11 pour les
Dernières propositions concernant la révision de la CIM 11 pour les troubles de l'identité de genre. (Aout 2011) F64 Gender identity disorders F64.0 Transsexualism A desire to live and be accepted as a member of the opposite sex, usually accompanied by a sense of discomfort with, or inappropriateness of, one's anatomic sex, and a wish to have surgery and hormonal treatment to make one's body as congruent as possible with one's preferred sex. Dual-role transvestism The wearing of clothes of the opposite sex for part of the individual's existence in order to enjoy the temporary experience of membership of the opposite sex, but without any desire for a more permanent sex change or associated surgical reassignment, and without sexual excitement accompanying the cross-dressing. Gender identity disorder of adolescence or adulthood, nontranssexual type Excludes: fetishistic transvestism ( F65.1 ) Gender identity disorder of childhood A disorder, usually first manifest during early childhood (and always well before puberty), characterized by a persistent and intense distress about assigned sex, together with a desire to be (or insistence that one is) of the other sex. There is a persistent preoccupation with the dress and activities of the opposite sex and repudiation of the individual's own sex. The diagnosis requires a profound disturbance of the normal gender identity; mere tomboyishness in girls or girlish behaviour in boys is not sufficient. Gender identity disorders in individuals who have reached or are entering puberty should not be classified here but in F66.-. Excludes: egodystonic sexual orientation ( F66.1 ) F64.1 F64.2 F64.8 F64.9 F65.1 F66 sexual maturation disorder ( F66.0 ) Other gender identity disorders Gender identity disorder, unspecified Gender-role disorder NOS Fetishistic transvestism The wearing of clothes of the opposite sex principally to obtain sexual excitement and to create the appearance of a person of the opposite sex. Fetishistic transvestism is distinguished from transsexual transvestism by its clear association with sexual arousal and the strong desire to remove the clothing once orgasm occurs and sexual arousal declines. It can occur as an earlier phase in the development of transsexualism. Psychological and behavioural disorders associated with sexual development and orientation Note: F66.0 F66.1 F66.2 F66.8 F66.9 Sexual orientation by itself is not to be regarded as a disorder. Sexual maturation disorder The patient suffers from uncertainty about his or her gender identity or sexual orientation, which causes anxiety or depression. Most commonly this occurs in adolescents who are not certain whether they are homosexual, heterosexual or bisexual in orientation, or in individuals who, after a period of apparently stable sexual orientation (often within a longstanding relationship), find that their sexual orientation is changing. Egodystonic sexual orientation The gender identity or sexual preference (heterosexual, homosexual, bisexual, or prepubertal) is not in doubt, but the individual wishes it were different because of associated psychological and behavioural disorders, and may seek treatment in order to change it. Sexual relationship disorder The gender identity or sexual orientation (heterosexual, homosexual, or bisexual) is responsible for difficulties in forming or maintaining a relationship with a sexual partner. Other psychosexual development disorders Psychosexual development disorder, unspecified